Othman, David Zachary
Othman, David Zachary is an sole proprietor health care provider with primary practice located at 2202 N Halsted St Ste 1 , Chicago IL 60614-3625. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Othman, David Zachary can be contacted via phone (312) 600-5826.Contact Information
Primary practice address
2202 N Halsted St Ste 1
Chicago IL 60614-3625
Phone: (312) 600-5826
Fax: (872) 260-5008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 036144735 | Illinois |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 143497 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 036144735 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036144735 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 143497 | California |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 036144735 | Illinois |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 143497 | California |
Profile Details
| NPI number | 1760741938 |
|---|---|
| LBN Legal business name | Othman, David Zachary |
| Credentials | M.D., M.H.S.A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2012 |
| Last updated | Dec 23rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760741938 | NPPES |
| Florida | MEDICAID | 024369500 |
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